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St Helens and Knowsley Teaching Hospitals NHS Trust

Locum Consultant in Burns & Plastics Surgery

(Trauma & General Plastic Surgery Interest)

Locum Consultant in Burns & Plastics Surgery, July 2020

This Post

Title Locum Consultant in Burns & Plastics Surgery - Interest Trauma & General Plastics Surgery

Location Whiston HospitalType of post New PostAccountable to Divisional Director, Dr Sam PedderReports to Clinical Director, Mr Alex Benson

Job Summary

The post is a Consultant in Burns and Plastic Surgery with a significant interest in trauma and general plastic surgery with a peripheral site commitment. This is an exciting opportunity for a highly motivated surgeon to join a dynamic, rapidly expanding team delivering multidisciplinary care within the Mersey Regional Burns and Plastic Surgery unit based at St Helens & Knowsley Teaching Hospitals.

Due to short term nature of the role/service demand, the successful candidate must hold full registration with the GMC and have existing right to live and work in UK, at the time of application. Candidates who are not GMC registered or do not hold existing right to live and work in the UK, at the time of application will not progress through shortlisting stage.

Applicants are required to hold Membership of the Royal College of Surgeons (UK or equivalent qualifications). In addition applicants should have the FRCS (plast), completed at least 4 years full time postgraduate training (or its equivalent gained on a part time basis or flexible basis) at least 2 of which will be in a specialty training programme in burns and plastic surgery.

St Helens & Knowsley Teaching Hospitals NHS Trust

A £338 million (PFI) investment has re-built and modernised both Whiston and St Helens Hospitals, resulting in modern state of the art health care facilities for the treatment and care of patients. St Helens Hospital was completed in 2008 and Whiston Hospital in 2010. The hospitals include 887 inpatient beds with state of the art CT and MRI facilities existing on both hospital sites. CT and MRI scanners at St Helens have also recently been upgraded including installation of a high field 3 Tesla MRI scanner. The DEXA scanner is also located at St Helens Hospital.

The Trust provides a full range of acute inpatient, outpatient, day case and emergency services to local communities of St Helens, Knowsley, parts of Halton and Liverpool. The Regional Plastic Surgery and Burns Unit also extend its services to the whole of Cheshire, Merseyside, North Wales and the Isle of Man.

As a Trust, our aim is to provide a high quality service to all patients. We strive to meet the best standards for professional care whilst being sensitive and responsive to the needs of individual patients. Our valued workforce is recognised for their unique skills and talents with our teams of experts winning national awards on a regular basis.

Whiston Hospital

Whiston Hospital is a busy teaching hospital which provides a comprehensive range of acute Medical and Surgical Services, Emergency Services, Maternity Services, Paediatrics and Medicine for Older People. The Regional Burns and Plastic Surgery Units are also based on this site. There is a Critical Care Unit consisting of ICU, HDU, CCU and an onsite Cardiac


Catheter Laboratory. The stroke consultants deliver 24/7 thrombolysis to eligible patients presenting with acute stroke. There is a 30-bed Stroke Unit which accommodates both acute stroke patients and those with rehabilitation needs.

St Helens Hospital

St Helens Hospital is an Ambulatory Care Centre providing Intermediate Care and Day Surgery. Rheumatology, Dermatology and Diabetes services are based on this site and within easy reach of other acute specialties at Whiston Hospital.

Our Achievements

The Trust is currently the only acute Trust in Cheshire and Merseyside, and is one of few in the entire country, to achieve the title of OUTSTANDING, rated by the Care Quality Commission.

Our latest achievements include:

Trust of the Year (HSJ) – November 2019 Trust rated Outstanding by the CQC – March 2019 Best in the NHS, Patient Led Assessment of the Care Environment 2017 and 2018 The Trust achieved top marks in the country for areas including; cleanliness, food,

privacy and dignity, facilities for patients living with dementia and disabilities, conditions, appearance and maintenance of the hospital buildings.

Top 100 places to work in the NHS (NHS Employers and Health Service Journal) Best acute Trust in England (NHS Staff Survey 2017 and 2018) Best Patient Experience in the NHS (CHKS Top Hospitals Awards 2015)

In the NHS Staff Survey 2019 the Trust scored the highest marks in the following areas;

Best place to receive treatment in the NHS (for 2nd year running) Top Acute Trust for treating its staff fairly with regards to career progression (for 3rd

year running) Quality of care (best score for 5th year running) Staff engagement (best score for 4th year running) Staff morale (best score for 2nd year running) Bullying and harassment (best score for 2nd year running) Safety culture (best score for 2nd year running)

Our staff rated our Trust as the best place to work and receive treatment. The Trust has also been recognised, for the third year running, as being the top acute Trust in the entire country for staff engagement, staff motivation, and pride in the quality of care we provide to patients.

The Trust was rated as having the Best Patient Experience in the NHS (CHKS Top Hospitals Awards 2015) and ranked as the best Acute Trust for 2 years running in the Patient Led Assessment of the Care Experience (PLACE) program. The Trust’s cancer services were also rated as the fourth best in the country by the Macmillan Cancer Patient Experience Survey in 2014. The Trust is consistently chosen as one of 40 acute trusts in the top 100 best places to work in NHS (as published by Health Service Journal). It is one of the most sought after teaching venues for medical students from the University of Liverpool and is a popular choice for the University’s graduates ensuring a succession of high quality enthusiastic trainees.


Life in Merseyside

Merseyside, which includes the great city of Liverpool, is within easy reach of North Wales, the Lake District and the Peak District and provides an interesting mix of rural and urban life.

Liverpool is a vibrant, music city which has undergone a renaissance in recent years and has recently been named European City of Culture.

High quality schools are available in Liverpool, Wirral and Rainhill areas. The area has many sports facilities including championship golf courses, several sailing clubs and one of the finest windsurfing venues in Britain. ‘Merseysiders’ are renowned for their friendliness and quick-witted humour and the region sports two of the finest football teams in the Premier League.

The town of St Helens is renowned for its glassworks and rugby. The district has a population of around 340,000 and is of mixed residential, industrial and rural character. It is situated on the edge of Merseyside, between the open countryside of Cheshire to the south and Lancashire to the north.

Manchester City Centre is a short 23 miles from Whiston Hospital; accesses to motorway networks are a short 5 minute drive (including M62 and M6).

Both Whiston and St Helens Hospitals are within easy reach of the City of Liverpool (20 minutes by car), and access to motorway networks (including M62, M6, M57 and M58) is also convenient.

Surgical Care Group

The Surgical Care Group is made up of all Surgical Directorates including anaesthesia. The Clinical Directors report to Dr Sam Pedder, the Divisional Director of Surgery. The Clinical Directorates have Directorate Managers who report to the Assistant Director of Operations.

Trauma & Orthopaedics - Clinical Director, Mr N Emms

Urology – Clinical Director, Mr H Gana

Burns & Plastics – Clinical Director, Mr A Benson

ENT – Clinical Director, Mr V Nandapalan

Obstetrics & Gynaecology – Clinical Director, Mr T Idama

Theatres & Anaesthetics – Clinical Director, Mr P Atherton

Ophthalmology – Clinical Director, Mr I Akram

Vascular Surgery – Mr D Jones (Liverpool Endovascular and Vascular Service-RLBUHT)

Surgical Care Group Activity 2019/20


Non Elective 26,690

Elective 5,801

Day Case 27,921

Department Facilities

The principal purpose of the post is to provide a burn and general plastic surgical service to the local population within the Mersey Region, North Wales and the Isle of Man.

The Plastic Surgery and Burn Unit is situated in the new Whiston Hospital. The Unit has its own dedicated burns, plastics, laser and day case theatres and a dressing clinic. The consultants have access to 28 plastic surgery beds and a trauma assessment area on the plastic surgery ward and 12 burn beds on the burn ward.

There are 24 Consultant Plastic Surgeons in the Mersey Regional Plastic Surgery Unit.

Name Special Interest

Mr A Benson Skin Cancer, facial palsy, general plastic, AWR & paediatric surgery(Clinical Director)

Mr P McArthur Hand surgery including congenital hand surgery

Mr P Brackley Skin cancer surgery

Mr D Bell Trauma & hand surgery(Deputy Clinical Director)

Mr A Iqbal Hand, breast reconstruction & trauma surgery

Mr I Khan Trauma & hand surgery

Prof K Shokrollahi Burns, laser & general plastic surgery

Mr S Liew Skin cancer & laser surgery

Mr H Shaaban Skin cancer, head & neck and laser surgery

Mr H Tehrani Mohs surgery, skin cancer & laser surgery

Mr R Pritchard-Jones Skin Cancer, research general plastic & AWR surgery(Medical Director)

Mr O Koshy Breast reconstruction & microsurgery

Mr Z Hassan Hand, trauma & paediatric surgery(Programme Director)

Mr C West Hand, AWR & trauma surgery

Miss R Taghizadeh Breast reconstruction & microsurgery


Mr A El-Gawad Lower limb & orthoplastic trauma

Mrs C Defty Skin cancer, general plastic surgery & laser

Miss A Harper-Machin Head & neck, skin cancer & facial palsy surgery

Miss R Nayar Mohs surgery & trauma surgery

Mr J Morton (Locum) Mohs, skin & ocular plastic surgery

Mr D Gurusinghe (Locum) Burns & general plastic surgery

Miss M Nagarajan (Locum) Trauma & general plastic surgery

Mr S Bennett (Locum) Breast reconstruction & micro surgery

Mr N Hamnett (Locum) General Plastic, Skin & Laser Surgery

The consultant team is supported by eight specialist registrars, three LAT posts, one associate specialist, four SAS grades, one breast fellow, one hand fellow, four SHOs, one F2 and three clinical fellow posts.

The Consultant on-call commitment is currently 1 in 22 but is under review.

Additional Clinical Departments

The department at Whiston is supported by a medical photography service, on-site radiology and the provision of a mobile x-ray facility appropriate for hand surgery. The LRS at the Royal Liverpool University Hospital and the Plastic Surgery Department have developed close links. A Hand Fellow post is part of the Plastic Surgery Hand service spending six months within the unit. A second TIG hand fellow is shared with the hand unit in Wrightington. The Department, along with the Breast Unit is recognised as a national centre for breast onco-plastic training. A Breast Surgery Fellow spends six months with the reconstructive breast surgeons. The Prosthetic Department is part of the B&P directorate and offers patients viable and safe alternatives to surgery to enable them to maintain their dignity and their place in society.

The Work of the Unit

The Mersey Plastic Surgery Unit comprises of a 28 bedded ward (including 12 en-suite cubicles), 8 trolley spaces for its plastic surgery trauma unit, which will later this month have its own separate facility opposite the plastic surgery ward and adjacent to the offices and a local anaesthetic theatre, a prosthetics department and a pre-operative assessment clinic. The separate burn ward has 12 beds and is in close proximity to critical care and the burn theatre. The unit has 3 theatres for plastic surgery, 1 for burns and 1 for daycase skin work at Whiston. There are 6 daycase theatre sessions per week on the St Helens site. Whiston hospital houses the majority of other surgical and medical specialities occasionally needed by plastic surgical patients. We have excellent pathological and radiological departments on site with recently enhanced MRI facilities.


Plastic Surgery Activity 2019/20Elective 1366

Day case 11968

Non Elective 4039

Job Plan Sample Job Plan (subject to review to include 7 day working/evening session, to be discussed & agreed with CD & DM on appointment) DCC = 7.25 (inc on-call) SPA = 1Total = 8.25 PAs

Monday Tuesday Wednesday Thursday Friday

08:00 – 13:00

Peripheral siteOP Clinic Wk 3

Off Wk’s 1,2,4 & 5

08:00 – 13:00

Trauma Assessment/

Trauma Theatre

09:00 – 13:00

Hand Clinic

09:00 – 13:00

SPA

08:00 – 13:00

Major Trauma Theatre (Aintree

site)

13.00 – 17.00

Peripheral site Ward referrals/OP

Clinic Wk3

Off Wk’s 1,2, 4 & 5

13:30 – 17:30

Trauma Theatre

13:00 – 17.00

Admin

13:00 – 19:00

Peripheral SiteOP Clinic

13:30 – 17:30

Off

This job plan consists of 8.25 PA’s plus peripheral site travel expenses. SPA time for locum Consultants is 1 sessions per week for professional activity to support revalidation, personal appraisal, personal job planning, mandatory training, participation in departmental and governance meetings.

SPA activity must be relevant to the Trust and Individual’s needs, and must be agreed at the job planning session in line with the Trust’s Medical Workforce (Non-Training) Job Planning Version 1.6 Policy.

Development and Support

Secretarial support, dedicated office space with a desk and personal computer will be provided for the post holder. The successful candidate will be appointed a mentor. The substantive post holder will be expected to act as clinical/educational supervisor for one or more trainees. The trainees will usually be at FY2, ST1 or ST2 level.

It is a requirement of the post that post-holders comply with Trust policies and procedures, have (and maintain) GMC registration / licensing and participate in a formal CPD programme.


The Trust supports the requirements for Continuing Medical Education as laid down by the Royal College of Surgeons and is committed to providing time and financial support for these activities.

The post-holder must also participate in regular medical audit and in annual appraisal and job planning with the Clinical Director or one of the other qualified appraisers within the Trust.

The post holder will have access to the trust mentoring scheme and this has been developed in line with the NHS North West Mentoring Scheme network. Newly qualified consultants will have access to mentoring from existing senior clinicians across the hospital.

Audit and Education

The hospital has a clearly defined programme of medical audit to which the appointee will be expected to contribute. All specialities spend one half day per month on audit and clinical governance. This occurs at the same time for all specialties, allowing an exchange of views between specialties and encourages multi-disciplinary audit. The audit NHD occurs on a different half day each month, rotating from Tuesday morning to Thursday afternoon.

The hospital has a weekly grand round held in the Postgraduate Centre on Tuesday lunchtime. All disciplines take part on a rotational basis. The Centre has a purpose built lecture theatre, 3 seminar rooms and a library, including electronic databases and internet access. There is a varied programme of lectures and seminars and sub-specialty educational meetings.

The Trust has for decades been one of the three major providers of clinical training for undergraduate medical students from the University of Liverpool.

Location

Your principal place of work is St Helens and Knowsley Teaching Hospitals NHS Trust, however there is a peripheral site clinical commitment attached to this post.

Visiting

Candidates may meet prior to interview and by arrangement with Mr Alex Benson, Consultant Burns & Plastic Surgeon and Clinical Director who can be contacted through his secretary on 0151 430 1864 or Mr D Bell, Consultant Burns & Plastic Surgeon, Deputy Clinical Director and Trauma Clinical Lead through his secretary on 0151 430 1993.

General Duties of All Employees

To observe the provisions of and adhere to all Trust policies and procedures. To actively participate in annual performance review to identify personal development

needs. To attend Trust Statutory and Mandatory training sessions as required and any other

training courses relevant to the post. To fully comply with the relevant sections of the Health and Safety at Work Act. The

post holder must also understand and implement St Helens and Knowsley Hospitals NHS Hospitals Trust’s “Statement of Policy on Health and Safety at Work” and the Trust’s corporate “Health and Safety Policies and Procedures”. The post holder is


required to follow all applicable rules and procedures relating to Health and Safety at Work and to take all responsible precautions.

To be aware of the confidential aspects of the post. To keep up to date with the requirements of information governance; undertake mandatory training and follow Trust policies and procedures to ensure that trust information is dealt with legally, securely, efficiently and effectively. Breaches of confidentiality will result in disciplinary action that may involve dismissal. You must maintain the confidentiality of information about service user staff and organisational business in accordance with the General Data Protection Regulation 2018 (GDPR) and Caldicott principles

To ensure that when creating, managing and sharing information records, it is done in an appropriate way, subject to statutory requirements and agreed security and confidentiality policies, procedures and guidelines. All employees are responsible for implementing and maintaining data quality, ensuring that records are legible and attributable and that their record keeping is contemporaneous.

To be aware of the confidential aspects of the post. Breaches of confidentiality will result in disciplinary action that may involve dismissal. The post holder should also be aware that, regardless of any action taken by the employing authority, breaches of confidentiality could result in civil action for damages.

All employees will be treated with respect by managers, colleagues, patients and visitors and equally employees will treat managers, colleagues, patients and visitors with the same level of respect. Employees will be supported to challenge any discriminatory behaviour that may be based on differences in race, disability, language, culture, religion, sexuality, age, and gender or employment status.

To be responsible for the prevention and control of infection within their own area. To attend infection control induction training and subsequent mandatory infection control training. To follow all Trust policies, procedures and guidelines relating to infection control.

To adhere to relevant Code of Practice of Professional body (if appropriate) The duties contained in this job description are not intended to be exhaustive. The

duties and responsibilities of this post are likely to evolve in line with the Trust’s continued organisational development.

The post holder must be flexible in the duties performed and it is expected that similar duties, not specifically listed above, will be carried out as required and may be across sites.

TW/DB – July 20


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